Provider Demographics
NPI:1104618438
Name:SMITH, SINTIERE S
Entity type:Individual
Prefix:
First Name:SINTIERE
Middle Name:S
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 NORTH NEWTOWN RD STE A-5
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-2410
Mailing Address - Country:US
Mailing Address - Phone:757-810-0339
Mailing Address - Fax:
Practice Address - Street 1:156 NORTH NEWTOWN RD STE A-5
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-2410
Practice Address - Country:US
Practice Address - Phone:757-810-0339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-0005805251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health